IVAN NGUYEN TRINH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

CANCELLED

Business

Title

First Name

IVAN

Middle

NGUYEN

Last Name

TRINH

Business Name

IVAN NGUYEN TRINH MD

Original Issue Date

04/16/2018

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

HANNIBAL

State

Zip

63401

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2018